| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.47 | $65.59 | $138.06 | |
Aetna
| Professional | $62.47 | $64.31 | $75.59 | |
BCBS
| Facility | $26.66 | $42.64 | $63.23 | |
BCBS
| Professional | $63.23 | $63.23 | $64.48 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $60.08 | $60.08 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
United
| Professional | $63.68 | $63.68 | $85.70 |